Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $114.82	Professional		$16.22	$16.22	$114.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $114.82	Professional		$102.33	$102.33	$114.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $24.55	Facility		$22.91	$22.91	$24.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.99 / $28.18	Facility		$19.50	$23.99	$28.18
Sentara Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $28.18	Professional		$19.50	$23.99	$28.18